Individual
DR. REBECCA BROSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
7230 HERITAGE VILLAGE PLZ, SUITE 202, GAINESVILLE, VA 20155-3053
(703) 754-0636
(703) 754-0646
Mailing address
7230 HERITAGE VILLAGE PLZ, SUITE 202, GAINESVILLE, VA 20155-3053
(703) 754-0636
(703) 754-0646
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810004574
VA
Other
Enumeration date
05/07/2012
Last updated
05/07/2012
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